Medical Malpractice Cases

Medical Malpractice Cases In Charlotte County Florida

Dr. James McMullen Medical Malpractice Lawsuits - Court Case # 06-1355-CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955625
Claim Number :EMC-FL-06-51413
Date Submitted :12/1/2009
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJames McMullen
Insurer TypeStreet Address of Practice
Licensed4320 Point Court
CityStateZip CodeCounty
Port CharlotteFL33948Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-4$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5793Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/10/20045/19/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cervical injury
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose, failure to order additional studies, failure to allow transport without proper immobilization
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Management of treatment
Principal Injury Giving Rise To The Claim
Quadriplegia
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/28/200606-1355-CA
County Suit Filed inDate of Final Disposition
Charlotte11/30/2009
Other Defendants Involved in this Claim
Bada, M.D., Alvaro R
Charlotte Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/7/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$33,615
All Other Loss Adjustment Expense Paid$9,821
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Mario J Lopez Medical Malpractice Lawsuits - Court Case # 04-481 CA

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850268
Claim Number :125289
Date Submitted :8/14/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarioJLopez
Insurer TypeStreet Address of Practice
Licensed3340 Tamiami Trail
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP37946$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50048Cardiovascular Disease - Minor Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/22/20028/5/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gastrointestinal complaints.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient's cardiac status was diagnosed as stable.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death from MI and congestive heart failure.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/4/200404-481 CA
County Suit Filed inDate of Final Disposition
Charlotte6/27/2008
Other Defendants Involved in this Claim
Punta Gorda HMA Inc. d/b/a Charlotte Regional Medical Center
Tadalan, Lourdes V
Charlotte Heart & Vascular Institute, P.A.
Panjikaran, George C
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/17/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$97,732
All Other Loss Adjustment Expense Paid$58,923
Injured Person's Total Non-Economic Loss$800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:10/23/2008 3:01:44 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid5544758918
Amount of Loss Adjustment Expense Paid to Defense Counsel8715797522
 
Date of Change:8/14/2009 3:44:12 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid5891858923
Amount of Loss Adjustment Expense Paid to Defense Counsel9752297732

 

 

This page is not displaying certain sensitive information.

Dr. Marc A Melser Medical Malpractice Lawsuits - Court Case # 05-73 CA

Indemnity Paid: $775,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745628
Claim Number :131608
Date Submitted :9/25/2008
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarcAMelser
Insurer TypeStreet Address of Practice
Licensed3410 Tamiami Trail, Suite 4
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP39777$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65024Surgery - Urological00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
12/16/20037/9/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gross hematuria, a PSA of 12.6 and an enlarged prostate.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Aploscopy and TURP which indicated adenomatous hyperplasia with diffuse and chronic prostatitis.Micro abscess formation and prostatic infarcts with focal hemorrhage were also noted.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiffs allege a 13 month delay in diagnosis.
Principal Injury Giving Rise To The Claim
13 months later prostate cancer was diagnosed resulting in the patient's death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/13/200505-73 CA
County Suit Filed inDate of Final Disposition
Charlotte4/16/2007
Other Defendants Involved in this Claim
Inter-Medic MedicalGroup, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
After notice of appeal is filed or post judgment relief of action is required for recovery.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/30/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$775,500
Loss Adjust Expense Paid to Defense Counsel$136,361
All Other Loss Adjustment Expense Paid$109,275
Injured Person's Total Non-Economic Loss$775,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/7/2007 9:49:17 AM
Reason for Change:Update to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid116237116261
Amount of Loss Adjustment Expense Paid to Defense Counsel132986136361
 
Date of Change:9/25/2008 10:41:20 AM
Reason for Change:Report updated to reflect a credit for expenses recovered.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid116261109275

 

 

This page is not displaying certain sensitive information.

Dr. Gerardo M Garcia Medical Malpractice Lawsuits - Court Case # 01-709-CA

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536748
Claim Number :37798
Date Submitted :9/22/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN EQUITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
86-0703220 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPatriciaWThomas
Street Address
3097 Satellite Blvd., Bldg. 700
CityStateZip
DuluthGA30096
PhoneExtFaxE-Mail Address
(770) 497 - 5365 (770) 263 - 4675pthomas@stpaultravelers.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGerardoMGarcia
Insurer TypeStreet Address of Practice
Licensed2525 Harbor Blvd.
CityStateZip CodeCounty
Port CharlotteFL33952Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MFP0000118$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76832Physicians or Surgeons - Major Surgery.NOC classification. 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
BON SECOURS-VENICE HOSPITAL103004
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/5/199911/1/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
History of gastrointenstinal problems
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopic surgery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Acute pancreatitis
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/24/200101-709-CA
County Suit Filed inDate of Final Disposition
Charlotte4/10/2002
Other Defendants Involved in this Claim
Domingo E. Galliano Jr PA dba University Surgical Associates
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/10/2002
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$600,000
Loss Adjust Expense Paid to Defense Counsel$55,935
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Not applicable
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Eugene E Gregush Medical Malpractice Lawsuits - Court Case # 04-993-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534658
Claim Number :A02-27447-02
Date Submitted :3/16/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEugeneEGregush
Insurer TypeStreet Address of Practice
Licensed2525 Harbor Blvd. Suite 201A
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
50330$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41486Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH HOSP. OF PORT CHARLOTTE100077
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
10/18/200212/2/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pregnancy and childbirth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Labor and delivery via c-section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing fetal distress.
Principal Injury Giving Rise To The Claim
Brain damage to infant.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/17/200404-993-CA
County Suit Filed inDate of Final Disposition
Charlotte2/16/2005
Other Defendants Involved in this Claim
Saunders, RN, Hyacinth A
Bon Secours - St. Joseph Hospital
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherAppeal prior to trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/16/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$17,191
All Other Loss Adjustment Expense Paid$8,522
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$18,409,637
Wage Loss$0$1,501,885
Other Expenses$0$146,918
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Timothy A Janz Medical Malpractice Lawsuits - Court Case # 02-726-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643349
Claim Number :A00-23387-00
Date Submitted :12/4/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTimothyAJanz
Insurer TypeStreet Address of Practice
Licensed522 E Marion Avenue
CityStateZip CodeCounty
Punta GordaFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
15978$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48819Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/14/200012/6/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to examine patient and/or refer patient for cardiological consultation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose onset of cardiac arrest, failure to perform 12 lead EKG, failure to refer to cardiologist for a cardiac consultation and failure to examine patient upon presentation to office.
Principal Injury Giving Rise To The Claim
Death from apparent cardiac arrest two days post office visit.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/23/200202-726-CA
County Suit Filed inDate of Final Disposition
Charlotte11/13/2006
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/13/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$72,148
All Other Loss Adjustment Expense Paid$80,109
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Eugene E Gregush Medical Malpractice Lawsuits - Court Case # 03-1762-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535447
Claim Number :A03-28213-01
Date Submitted :6/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEugeneEGregush
Insurer TypeStreet Address of Practice
Licensed2525 Harbor Blvd., Suite 201A
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
50330$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41486Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
1/28/20024/1/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Porencephaly.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Ultrasound interpretation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosing brain malformation.
Principal Injury Giving Rise To The Claim
Missed opportunity to abort the fetus.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/16/200303-1762-CA
County Suit Filed inDate of Final Disposition
Charlotte5/11/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$29,090
All Other Loss Adjustment Expense Paid$20,653
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$13,000,000
Wage Loss$0$2,000,000
Other Expenses$20,000$1,500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Joe Butler Medical Malpractice Lawsuits - Court Case # 03-1742 CA-EA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848719
Claim Number :125662
Date Submitted :8/7/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoe Butler
Insurer TypeStreet Address of Practice
Licensed2525 Harbor Blvd., Suite 309
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP39328$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39536Physicians or Surgeons - Major Surgery.NOC classification.0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH HOSP. OF PORT CHARLOTTE100077
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/25/20019/15/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute cholecystitis, cholelithiasis and possible bile duct stone
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Open cholecystectomy and repair of perforation in peritoneal cavity
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/24/200403-1742 CA-EA
County Suit Filed inDate of Final Disposition
Charlotte2/27/2008
Other Defendants Involved in this Claim
Dash, Jeffrey A
St. Joseph Hospital
Fernandez, Luis F
Joseph Butler, MDPA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$74,491
All Other Loss Adjustment Expense Paid$33,518
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:8/7/2009 3:11:11 PM
Reason for Change:Additional invoices paid after file closed.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel6993574491
All Other Loss Adjustment Expense Paid2701833518

 

 

This page is not displaying certain sensitive information.

Dr. Luis R Rodriguez Medical Malpractice Lawsuits - Court Case # 08-006590-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952648
Claim Number :145076
Date Submitted :9/15/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLuisRRodriguez
Insurer TypeStreet Address of Practice
Licensed3155 Harbor Blvd., Suite 101
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP35887$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62983Pediatrics - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
7/25/20068/2/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infection of dermal sinus tract.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Infant presented with fever and vomiting, and was diagnosed as viral syndrome. Rapid strep was negative.Diet and dehydration discussed with parents.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Incorrect diagnosis of viral syndrome.
Principal Injury Giving Rise To The Claim
Paralysis of lower extremities.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/1/200808-006590-CA
County Suit Filed inDate of Final Disposition
Charlotte1/29/2009
Other Defendants Involved in this Claim
My Children's Doctor, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/16/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$10,680
All Other Loss Adjustment Expense Paid$3,718
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/15/2009 12:17:19 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel966010680
All Other Loss Adjustment Expense Paid34353718

 

 

This page is not displaying certain sensitive information.

Dr. George C Panjikaran Medical Malpractice Lawsuits - Court Case # 07-939-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057143
Claim Number :148227
Date Submitted :4/6/2011
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
14497 North Dale Mabry Hwy., Suite 115-N
CityStateZip
TampaFL33618-2047
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGeorgeCPanjikaran
Insurer TypeStreet Address of Practice
Licensed3344 Kenmore Drive
CityStateZip CodeCounty
SarasotaFL34231Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP36910$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME34716Pulmonary Diseases - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/30/20053/30/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bilateral pneumonia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Management of pneumonia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death allegedly due to delay in endotracheal intubation and ventilatory support.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/12/200707-939-CA
County Suit Filed inDate of Final Disposition
Charlotte3/17/2010
Other Defendants Involved in this Claim
Dash, Jeffrey A
American Medic of Charlotte County, P.A. d/b/a Peace River M
George C. Panjikaran, M.D., P.A.
Perez, Ricardo A
Webb, Chris R
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/13/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$58,209
All Other Loss Adjustment Expense Paid$23,910
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:5/28/2010 3:00:36 PM
Reason for Change:Updated to reflect date of indemnity payment, and additional legal fees and costs paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2321123864
Amount of Loss Adjustment Expense Paid to Defense Counsel5094757533
 
Date of Change:4/6/2011 10:49:50 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2386423910
Amount of Loss Adjustment Expense Paid to Defense Counsel5753358209

 

 

This page is not displaying certain sensitive information.

Dr. John P Rioux Medical Malpractice Lawsuits - Court Case # 03-2378 CA

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432118
Claim Number :122054
Date Submitted :7/23/2004
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnPRioux
Insurer TypeStreet Address of Practice
Licensed2885 Tamiami Trail, Suite 107
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP39777$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME72810Surgery - General0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FAWCETT MEMORIAL HOSPITAL100236
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/11/20024/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hernia and abdominal adhesions.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic lysis of adhesions and hernia repair.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize a bowel perforation.
Principal Injury Giving Rise To The Claim
Bowel perforation.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/15/200303-2378 CA
County Suit Filed inDate of Final Disposition
Charlotte7/12/2004
Other Defendants Involved in this Claim
Inter-Medic Medical Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/19/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$375,000
Loss Adjust Expense Paid to Defense Counsel$5,472
All Other Loss Adjustment Expense Paid$2,694
Injured Person's Total Non-Economic Loss$375,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed claim with medical experts and insurance personnel.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

One or more fields in this claim have failed internal data validation testing.

Dr. Bala K Nandigam Medical Malpractice Lawsuits - Court Case # 07-3978CA

Indemnity Paid: $362,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850886
Claim Number :148308
Date Submitted :8/17/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBalaKNandigam
Insurer TypeStreet Address of Practice
Licensed1620 North Tamiami Trail, Suite 300
CityStateZip CodeCounty
Port CharlotteFL33948Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP41115$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48592Cardiovascular Disease - Minor Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
OtherICU
Date of OccurrenceDate Reported to Insurer
12/8/20054/6/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Atrial fibrillation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anticoagulation therapy - Coumadin.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Intracranial hemorrhage/subdural hematoma allegedly resulting from Coumadin toxicity.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/20/200707-3978CA
County Suit Filed inDate of Final Disposition
Charlotte8/21/2008
Other Defendants Involved in this Claim
Harbor Cardiology & Vascular Center, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/29/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$362,500
Loss Adjust Expense Paid to Defense Counsel$16,899
All Other Loss Adjustment Expense Paid$10,315
Injured Person's Total Non-Economic Loss$362,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:8/17/2009 10:23:45 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1134416899
All Other Loss Adjustment Expense Paid818610315

 

 

This page is not displaying certain sensitive information.

Dr. Stephen L Dickson Medical Malpractice Lawsuits - Court Case # 03-372CA

Indemnity Paid: $275,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537783
Claim Number :A02-25655-02
Date Submitted :10/27/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualStephenLDickson
Insurer TypeStreet Address of Practice
Licensed713 East Marion Avenue, Ste 303
CityStateZip CodeCounty
Punta GordaFL33950Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
41620$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME83268Surgery - Cardiovascular Disease80150

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
OtherPost anesthesia Care Unit
Date of OccurrenceDate Reported to Insurer
2/15/20022/26/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Removal of sternal wires eight months following coronary arterial bypass surgery X4.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Removal of sternal wires in preparation for flap closure surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to keep pt paralyzed on a ventilator pending definitive flap closure surgery.
Principal Injury Giving Rise To The Claim
Laceration of heart by retractor inserted by hospital nurse, resulting in exsanguination and death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/28/200303-372CA
County Suit Filed inDate of Final Disposition
Charlotte9/30/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/30/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$275,000
Loss Adjust Expense Paid to Defense Counsel$63,809
All Other Loss Adjustment Expense Paid$44,750
Injured Person's Total Non-Economic Loss$275,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. JAY RAJA Medical Malpractice Lawsuits - Court Case # 05-1853CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640544
Claim Number :9901
Date Submitted :5/9/2006
 
Insurer Information
 
Insurer NameCoverage Type
PHYSICIANS PREFERRED INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
27-0087259 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDanielJDupre
Street Address
9310 Old Kings Rd. SouthSuite 702
CityStateZip
JacksonvilleFL32257
PhoneExtFaxE-Mail Address
(904) 332 - 7841 (904) 332 - 7842ddupre@physicianspreferred.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJAY RAJA
Insurer TypeStreet Address of Practice
Licensed900 PINE ST STE 215
CityStateZip CodeCounty
ENGLEWOODFL34223-4458Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10133$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40189Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ENGLEWOOD COMMUNITY HOSPITAL110004
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
8/28/20044/8/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Polyps of the colon
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy and polypectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Claim alleged improper performance of polypectomy and improper use of respiratory depressants
Principal Injury Giving Rise To The Claim
Internal Bleeding repeat surgery and alleged cardio pulmonary arrest
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/5/200505-1853CA
County Suit Filed inDate of Final Disposition
Charlotte5/9/2005
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/2/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$14,128
All Other Loss Adjustment Expense Paid$1,000
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$50,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None Known The insured believes that his care met acceptable standards
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Anthony Brignoni Medical Malpractice Lawsuits - Court Case # 04-1779-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535764
Claim Number :A03-29591-02
Date Submitted :7/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAnthony Brignoni
Insurer TypeStreet Address of Practice
Licensed2484 Caring Way, Suite D
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
42342$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59140Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/12/200210/17/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Vulvar intraepithelial neoplasia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During skin preparation of vulvar area for excision of lesion, insured was handed wrong concentration of solution used during procedure, causing chemical burns to vulva and rectum.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Chemical burns, possible fistula.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/8/200404-1779-CA
County Suit Filed inDate of Final Disposition
Charlotte6/8/2005
Other Defendants Involved in this Claim
Charlotte Reg Med Ctr
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/8/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$8,806
All Other Loss Adjustment Expense Paid$14,722
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$12,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Marc A Melser Medical Malpractice Lawsuits - Court Case # 08-003337-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851733
Claim Number :153249
Date Submitted :9/16/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarcAMelser
Insurer TypeStreet Address of Practice
Licensed3410 Tamiami Trail, Suite 4
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP52163$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65024Surgery - Urological00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/21/20063/17/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Evaluated PSA and prostatic enlargement.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Transrectal ultrasound, needle/punch prostate biopsy and fulgeration of penile condyloma.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Patient underwent repeat prostate biopsy 13 months later which returned positive for malignancy.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/23/200808-003337-CA
County Suit Filed inDate of Final Disposition
Charlotte11/24/2008
Other Defendants Involved in this Claim
Marc A. Melser, M.D., P.L.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/3/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$18,143
All Other Loss Adjustment Expense Paid$8,368
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/16/2009 10:27:08 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1786818143
All Other Loss Adjustment Expense Paid46958368

 

 

This page is not displaying certain sensitive information.

Dr. Olawale Idewu Medical Malpractice Lawsuits - Court Case # 07-683CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850837
Claim Number :33294-01
Date Submitted :9/10/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualOlawale Idewu
Insurer TypeStreet Address of Practice
Licensed2400 Harbor Blvd, Ste 14
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
39260$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80223Surgery - Otorhinolaryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityPeace River Regional Medical Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/26/200510/26/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Septal deviation-nose bleeds.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Septal reconstruction and turbinate reduction.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Retro bulbar hemorrhage not related to septal surgery.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/19/200707-683CA
County Suit Filed inDate of Final Disposition
Charlotte8/19/2008
Other Defendants Involved in this Claim
King, O.D., Christopher
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/19/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$27,030
All Other Loss Adjustment Expense Paid$21,502
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Gayle A Dilalla Medical Malpractice Lawsuits - Court Case # 05-345-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848438
Claim Number :40010388
Date Submitted :2/1/2008
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLaurieRSchwartz
Street Address
335 N. Maple Dr., #273
CityStateZip
Beverly HillsCA90210
PhoneExtFaxE-Mail Address
(310) 696 - 0286 (310) 979 - 4930lschwartz@litneutral.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGayleADilalla
Insurer TypeStreet Address of Practice
Licensed2525 Harbor Blvd., #301
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0118062200000$250,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67193Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
1/10/20036/9/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no operation, diagnostic, or treatment procedure causing the injury.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose breast cancer.
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose breast cancer.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/11/200505-345-CA
County Suit Filed inDate of Final Disposition
Charlotte1/9/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/1/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$38,142
All Other Loss Adjustment Expense Paid$1,868
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Karen M MacKenzie Medical Malpractice Lawsuits - Court Case # 06-2108CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849705
Claim Number :143926
Date Submitted :8/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKarenMMacKenzie
Insurer TypeStreet Address of Practice
Licensed13401 Avenue 328
CityStateZip CodeCounty
VisaliaCA93292Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP55266$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME89080Surgery - Abdominal00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CHARLOTTE REGIONAL MEDICAL CENTER100047
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/17/20045/18/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Morbid obesity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic loop gastric bypass.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Postoperatively patient developed complications requiring diagnostic laparoscopy.During intubation patient aspirated, developed ARDS and subsequently expired.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/9/200606-2108CA
County Suit Filed inDate of Final Disposition
Charlotte4/14/2008
Other Defendants Involved in this Claim
Pollizzi, Anthony
Wynn, Vander M
Forensky, James
Peace River Anesthesiology, P.A.
Punta Gorda HMA, Inc.
Surgical Obesity Solutions, LLC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/2/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$40,447
All Other Loss Adjustment Expense Paid$12,895
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsle.
 
Updates
 
 
Date of Change:8/12/2009 9:35:35 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4023740447
All Other Loss Adjustment Expense Paid736512895

 

 

This page is not displaying certain sensitive information.

Dr. JEFFREY A DASH Medical Malpractice Lawsuits - Court Case # 03-1742-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849758
Claim Number :19915-01
Date Submitted :6/2/2008
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbaraAEvans
Street Address
1301 N. Hagadorn Road
CityStateZip
East LansingMI48823
PhoneExtFaxE-Mail Address
(517) 324 - 6570 (517) 333 - 2806bevans@apassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJEFFREYADASH
Insurer TypeStreet Address of Practice
Licensed2343 Aaron Street
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
125669$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5864Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH HOSP. OF PORT CHARLOTTE100077
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/25/20015/7/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of dizziness, nausea and vomiting.She also complained of ongoing burning sensation in her chest for the previous three months, primarily after eating or when lying down.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured was the admitting and attending physician for the hospital stay.Procedures were performed by other physicians.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged all physicians failed to timely diagnose and treat pulmonary embolism.
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/16/200303-1742-CA
County Suit Filed inDate of Final Disposition
Charlotte5/23/2008
Other Defendants Involved in this Claim
American Medic of Charlotte County, P.A.
Bon Secours-St. Joseph Healthcare Group, Inc, dba
St Joseph Hospital
Butler, Joe
Fernandez, Luis F
Joseph, Sovi
Joseph Butler, M.D., P.A.
Moideen M. Moopen, M.D., P.A. aka and dba
Moopen & Panjikaran aka Moopen, Panjikaran & Joseph, PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$97,767
All Other Loss Adjustment Expense Paid$36,534
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured consulted with claims personnel and defense counsel.$250,000 was paid in full and final settlement of all claims on behalf of our insured.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Luis F Fernandez Medical Malpractice Lawsuits - Court Case # 03-1742-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849759
Claim Number :19915-02
Date Submitted :6/2/2008
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbaraAEvans
Street Address
1301 N. Hagadorn Road
CityStateZip
East LansingMI48823
PhoneExtFaxE-Mail Address
(517) 324 - 6570 (517) 333 - 2806bevans@apassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLuisFFernandez
Insurer TypeStreet Address of Practice
Licensed2400 Harbor Boulevard, Suite 13
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
125667$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56435Hematology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH HOSP. OF PORT CHARLOTTE100077
Location of Institutional InjuryOther Location of Institutional Injury
Recovery Room 
Date of OccurrenceDate Reported to Insurer
8/25/20019/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of dizziness, nausea and vomiting.She also complained of ongoing burning sensation in her chest for the previous three months, primarily after eating or when lying down.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured was covering the week-end shift for the admitting and attending physician during the hospital stay.Procedures were performed by other physicians.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged all physicians failed to timely diagnose and treat pulmonary embolism.
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/16/200303-1742-CA
County Suit Filed inDate of Final Disposition
Charlotte5/23/2008
Other Defendants Involved in this Claim
American Medic of Charlotte County, P.A.
Bon Secours-St. Joseph Healthcare Group, Inc, dba
St. Joseph Hospital
Butler, Joe
DASH, JEFFREY A
Joseph, Sovi
Joseph Butler, M.D., P.A.
Moideen M. Moopen, M.D., P.A. aka and dba
Moopen & Panjikaran aka Moopen, Panjikaran & Joseph, PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$88,995
All Other Loss Adjustment Expense Paid$33,828
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured consulted with claims personnel and defense counsel.$250,000 was paid in full and final settlement of all claims on behalf of our insured.American Medic of Charlotte County, P.A., an additionally insured corporation under this policy, was vicariously liable for the actions of Dr. Fernandez.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Mamoon Jarrah Medical Malpractice Lawsuits - Court Case # 00-1169-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849920
Claim Number :E28951-01
Date Submitted :8/17/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMamoon Jarrah
Insurer TypeStreet Address of Practice
Licensed21260 Olean Blvd., Suite 204
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-0131150-00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40565Surgery - Thoracic00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FAWCETT MEMORIAL HOSPITAL100236
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/17/19982/4/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
End stage renal disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insertion of Tessio Catheter.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/21/200000-1169-CA
County Suit Filed inDate of Final Disposition
Charlotte5/21/2008
Other Defendants Involved in this Claim
Inter-Medic Medical Group, P.A.
Fawcett Memorial Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/2/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$41,994
All Other Loss Adjustment Expense Paid$13,399
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:7/7/2008 2:18:14 PM
Reason for Change:Report updated to show indemnity payment.
 
Field ChangedFormer ValueNew Value
Indemnity Paid0250000
Injured Person Total Non-Economic Loss0250000
Settlement Reached01
 
Date of Change:8/17/2009 12:05:52 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid1288613399
Amount of Loss Adjustment Expense Paid to Defense Counsel3965341994

 

 

This page is not displaying certain sensitive information.

Dr. ARTHUR ESCHLEMAN JR. Medical Malpractice Lawsuits - Court Case # 00-1169 CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850066
Claim Number :23149-01
Date Submitted :7/7/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualARTHUR ESCHLEMAN JR.
Insurer TypeStreet Address of Practice
Licensed436 Mill Stream Way
CityStateZip CodeCounty
WoodstockGA30188Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3908$1,500,000$4,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME22325Radiology - Diagnostic - No Surgery80253

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FAWCETT MEMORIAL HOSPITAL100236
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
8/20/199810/5/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Renal disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of tessio catheter for dialysis.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to correctly interpret chest x-rays, resulting in delay in diagnosis in bleeding and subsequent death.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/3/200100-1169 CA
County Suit Filed inDate of Final Disposition
Charlotte6/16/2008
Other Defendants Involved in this Claim
Fawcett Memorial Hospital
Inter-Medic Medical Group
Jarrah, M.D., Mamoon
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$52,819
All Other Loss Adjustment Expense Paid$13,737
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Jose Domingo Medical Malpractice Lawsuits - Court Case # 06-1332CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058640
Claim Number :31669-01
Date Submitted :9/24/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJose Domingo
Insurer TypeStreet Address of Practice
Licensed2484 Caring Way, Suite A
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
55614$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME57596Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FAWCETT MEMORIAL HOSPITAL100236
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/15/200311/19/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic pelvic pain with menorrhagia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic assisted vaginal hysterectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Ureteral injury.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/29/200606-1332CA
County Suit Filed inDate of Final Disposition
Charlotte9/7/2010
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/7/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$61,316
All Other Loss Adjustment Expense Paid$32,512
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Yasmeen Islam Medical Malpractice Lawsuits - Court Case # 10002958CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161030
Claim Number :37480-01
Date Submitted :7/13/2011
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualYasmeen Islam
Insurer TypeStreet Address of Practice
Licensed3390 Tamiami Trail, Ste 102
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
71427$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78276Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCharlotte
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FAWCETT MEMORIAL HOSPITAL100236
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/16/20088/1/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient underwent lap-hysterectomy but failed to wake up following anesthesia.MRI demonstrated bilateral extensive brain ischemia.Patient has been hospitalized for previous week for a TIA but cleared for surgery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic hysterectomy.Pre-op hypertension to 220 systolic and intraoperative blood pressure fluctuations between 100 & 180 were not reported to insured.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient expired at transfer hospital and organ donation completed.Very strong expert support for insured; however, policy tendered due to risk of large verdict.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/10/201010002958CA
County Suit Filed inDate of Final Disposition
Charlotte6/22/2011
Other Defendants Involved in this Claim
Horn, M.D., Scott
Raider, D.O., Andrew
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/22/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$5,949
All Other Loss Adjustment Expense Paid$3,212
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton